2025 ICD-10-CM code I67.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cerebrovascular diseases - Other cerebrovascular diseases Diseases of the circulatory system (I00-I99) Feed
Cerebral atherosclerosis; atheroma of cerebral and precerebral arteries.
Modifiers may be applicable depending on the circumstances of the encounter and the services provided. Consult the official modifier guidelines for details.
Medical necessity for coding I67.2 is established by the presence of clinical symptoms (TIAs, stroke) or imaging evidence of significant atherosclerosis in the cerebral arteries that necessitates intervention to prevent future neurological events or improve quality of life.The severity of atherosclerosis and the potential for complications determine the medical necessity for specific treatments.
The clinical responsibility for I67.2 involves the diagnosis and management of cerebral atherosclerosis.This includes obtaining a thorough patient history, performing a neurological examination, and ordering appropriate diagnostic tests such as imaging studies (CT, MRI, angiography) to assess the extent of arterial narrowing and the presence of any complications (ischemia, infarction).Treatment may involve lifestyle modifications (diet, exercise), medication (antiplatelet agents, statins), and potentially surgical interventions (angioplasty, stenting) in severe cases.
In simple words: This code describes a buildup of fatty substances in the arteries that supply blood to the brain.This can narrow the arteries, reducing blood flow and potentially causing brain damage.The consequences of this condition can vary widely.
I67.2, Cerebral atherosclerosis, refers to the presence of atheroma (fatty deposits) within the cerebral and precerebral arteries.This condition involves the hardening and narrowing of these arteries, reducing blood flow to the brain.It is a chronic condition that can lead to various neurological complications depending on the severity and location of the affected arteries.The code excludes occlusion and stenosis causing cerebral infarction (I63.3-I63.5, I63.2) and sequelae (I69.8).
Example 1: A 70-year-old male patient presents with transient ischemic attacks (TIAs).Imaging reveals significant cerebral atherosclerosis.The physician diagnoses I67.2 and initiates treatment with antiplatelet therapy and lifestyle modifications., A 65-year-old female patient experiences a stroke due to cerebral atherosclerosis (I67.2).Post-stroke rehabilitation is necessary, including physical therapy and speech therapy.The long-term management includes medication to reduce the risk of further events., A 55-year-old patient with a history of hypertension and hyperlipidemia undergoes carotid angiography which reveals severe atherosclerosis in the internal carotid arteries.The physician codes this as I67.2, and plans for carotid endarterectomy.
Detailed patient history including risk factors (hypertension, hyperlipidemia, smoking, diabetes), neurological examination findings, results of imaging studies (e.g., CT, MRI, angiography) demonstrating atherosclerosis in cerebral or precerebral arteries, and treatment plan.
** Further sub-classification may be needed depending on the specific location and severity of the atherosclerosis and the associated clinical findings.Always reference the latest ICD-10-CM guidelines for accurate coding practices.
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- Specialties:Neurology, Cardiology, Vascular Surgery
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